Real Estate Change of Ownership Form

REAL ESTATE CHANGE OF OWNERSHIP FORM

This Real Estate Change of Ownership Form documents the transfer of legal title, ownership interest, and any related rights in the real property described below. Transferor and Transferee certify that the information contained herein is true and complete and agree to execute and record any additional instruments reasonably required to effectuate the transfer.

PARTIES

Individual    Corporation    LLC    Trust    Other

Individual    Corporation    LLC    Trust    Other

PROPERTY IDENTIFICATION

TRANSFER DETAILS

Transfer date:     Possession date (if different):

Sale    Gift    Inheritance    Foreclosure    Trust transfer    Other

Grant Deed    Warranty Deed    Quitclaim Deed    Trustee's Deed    Other

LIENS, ENCUMBRANCES, AND ASSESSMENTS

Are there existing mortgages or deeds of trust affecting the property?    Yes    No

Are there recorded liens, pending assessments, or unpaid taxes?    Yes    No

Is the property subject to homeowner association (HOA) obligations or covenants?    Yes    No

DISCLOSURES

Lead-based paint (for properties constructed prior to 1978):   Yes    No

Known mold, black mold, or other environmental hazards:   Yes    No

CERTIFICATIONS, WARRANTIES, AND ADDITIONAL TERMS

Transferor certifies, under penalty of perjury, that Transferor is the legal owner of the property described above and has the full right, power and authority to transfer the property free and clear of all encumbrances except those disclosed in this form or of record. Transferor warrants that there are no undisclosed owners or interests, and that all information furnished is true and correct to the best of Transferor's knowledge.

Transferee acknowledges receipt of the disclosures made herein and accepts the property subject to the recorded exceptions, covenants, conditions, and restrictions of record and any matters expressly disclosed in this form. Transferee agrees to execute any additional documents reasonably necessary to effect recording and transfer of title.

Transferor and Transferee agree that recording of the appropriate deed or instrument shall be made in the County Recorder's Office of the county in which the property is located. All applicable transfer taxes, documentary transfer taxes, and recording fees shall be paid by the party indicated below unless otherwise agreed in writing.

Recording fees to be paid by:   Transferor    Transferee

This document constitutes the entire agreement between the parties regarding the transfer of the referenced property and supersedes prior oral or written statements. Any amendment to this form must be in writing and signed by both Transferor and Transferee.

RECORDING AUTHORIZATION

Transferor authorizes Transferee (or Transferee's designated agent) to record the deed or other instrument of conveyance consistent with this form and to insert any conventional or standard county recording wording that does not materially alter the substance of the conveyance.

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